ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Mother delivered vaginally 2 hours ago, fundus firm at umbilicus, BP 108/64, apical 90, RR 20, temp 98.6°F, sudden heavy lochia saturating chux pad in 5 minutes.
Question 1 of 5
A nurse admits a normal vaginal delivery to the maternity unit 2 hours ago. The patient's fundus is firm at the umbilicus. On admission, her vital signs are BP 108/64, Apical 90, RR 20, and Temp. 98.6°F. Suddenly, her lochia appears to be heavy, saturating the entire chux pad within 5 minutes. At this time, the nurse's first priority action is:
Correct Answer: D
Rationale: Massaging the fundus promotes uterine contraction, addressing heavy lochia to control bleeding.
Extract:
Breastfeeding client managing engorgement.
Question 2 of 5
A home health nurse is teaching a client who is breastfeeding about managing engorgement. Which statement indicates understanding of the teaching?
Correct Answer: B
Rationale: Warm compresses before feeding soften breasts, easing milk flow and reducing engorgement.
Extract:
New mother who received epidural anesthesia, forceps delivery, anxious and restless at 6 hours postpartum, with a large perineal hematoma and unable to urinate.
Question 3 of 5
A new mother received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours post-partum, the client is anxious and restless. On further assessment, a large perineal hematoma is seen. She is unable to urinate. After notifying the physician, the nurse should plan to:
Correct Answer: A
Rationale: A Foley catheter relieves urinary retention caused by the hematoma, aiding assessment.
Extract:
Mother requiring 3,800 units of Heparin sodium dose subcutaneously.
Question 4 of 5
You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother. The pharmacy sends a 10,000 units in a 5ml vial. How many mls will the nurse administer?
Correct Answer: B
Rationale: Calculation: 3,800 units ÷ 10,000 units/5 ml = 1.9 ml.
Extract:
Newborn delivered via cesarean, 4337 grams, full-term, Apgar 8/9, under observation for jaundice and poor feeding, jittery, lethargic, poor suck, jaundice, loose stool, bilirubin 15 mg/dL, glucose 45 mg/dL.
Question 5 of 5
A nurse is caring for a newborn in the neonatal unit. The newborn was delivered via cesarean birth approximately 1 hour ago. Complete the diagram by specifying: 1. What condition the newborn is most likely experiencing. 2. Two actions the nurse should take to address that condition. 3. Two parameters the nurse should monitor to assess the newborn's progress.
Correct Answer: A
Rationale: Neonatal jaundice is indicated by elevated bilirubin and yellow skin. Phototherapy and frequent feeding reduce bilirubin, while monitoring bilirubin and glucose tracks progress.